NPIMap

Organization Active NPI

Eastern Kentucky ABA Services

  • Clinic/Center
  • Morehead, KY
National Provider Identifier
1750949863
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EASTERN KENTUCKY ABA SERVICES
Practice address
2995 Big Perry Rd
Morehead, KY 40351-8156
Phone
(606) 465-0786
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Rayburn-Dehart, BCBA, LBA, M.EDNPI 1265887368
Title
Executive Director
Phone
(606) 465-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2995 Big Perry Rd
Morehead, KY 40351-8156

Mailing address

2995 Big Perry Rd
Morehead, KY 40351-8156
Phone (606) 465-0786

Other identifiers 2

IdentifierTypeStateIssuer
7100415390MedicaidKY
168533OtherKYLICENSED BEHAVIOR ANALYST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL easternkyabaservices@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1750949863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 BIG PERRY RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518156",
            "telephone_number": "606-465-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BIG PERRY RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518156",
            "telephone_number": "606-465-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN KENTUCKY ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "RAYBURN-DEHART",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-465-0786",
        "authorized_official_credential": "BCBA, LBA, M.ED"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100415390",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST",
            "identifier": "168533",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "easternkyabaservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address for organization",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic information",
            "address_1": "2995 Big Perry Rd",
            "city": "Morehead",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403518156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.